8 NORDISTEMITrial design: Patients treated with thrombolytic therapy for STEMI with a very long transfer time to a PCI hospital were randomized to immediate transfer for PCI or transfer for rescue PCI only. Patients were followed for 12 months.ResultsDeath, MI, stroke, ischemia ↓ in immediate transfer arm at 30 days (p = 0.03), but not at 1 year (HR 0.72, 95% CI )Death, MI, stroke lower in immediate transfer arm at 1 year (15.9% vs. 6.0%, p = 0.01)Total bleeding at 30 days was similar between the two arms (13% vs. 14%)(p = 0.18)(p = 0.68)303027.320.9202014.0%13.0%Conclusions1010In patients with STEMI treated with thrombolytics at hospitals with very long transfer times for PCI, immediate transfer for PCI associated with better clinical outcomes, without an increase in bleedingAlthough transfer times in this trial were longer (median 130 minutes), results similar to DANAMI-2 and CARESS-in-AMIPrimary endpoint at 1 yearTotal bleeding at 30 daysImmediate transferRescue PCI onlyPresented by Dr. Sigrun Halvorsen at ESC 20098